Visits & medical services prices at Asante Three Rivers Medical Center
Grants Pass, OR · every code in this section with a posted price and a Medicare benchmark.
302 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $20,779.07 | $31,967.80 | 2.3× |
| Actigraphy Testing Recording Analysis I&R (95803) | $223.60 | $344 | 3.2× |
| Actinotherapy Ultraviolet Light (96900) | $118.04 | $181.60 | 2.7× |
| Airway Inhalation Treatment (94640) | $195.78 | $301.20 | 0.8× |
| Airway resistance by oscillometry (94728) | $369.66 | $568.70 | 2.4× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) range across 3 matching MRF lines |
$13.06–$380.64 | $20.10–$585.60 | varies |
| Analyze neurostim complex (95972) | $374.40 | $576 | 3.4× |
| Analyze Pacemaker System (93724) | $1,223.17 | $1,881.80 | 3.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $42.64 | $65.60 | 3.0× |
| Application on-body injector (96377) | $139.82 | $215.10 | 2.5× |
| Arrhythmia Induction (93618) | $3,324.36 | $5,114.40 | 2.3× |
| Assessment of aphasia per hr (96105) | $291.72 | $448.80 | 3.0× |
| Behavral qualit analys voice (92524) | $333.26 | $512.70 | 3.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$23.01–$1,270.04 | $35.40–$1,953.90 | varies |
| Bundle of his recording (93600) | $20,779.07 | $31,967.80 | 2.3× |
| C motor evoked uppr limbs (95928) | $4,149.21 | $6,383.40 | 4.1× |
| C motor evoked upr&lwr limbs (95939) | $4,149.21 | $6,383.40 | 4.1× |
| Canalith repositioning proc (95992) | $123.76 | $190.40 | 3.0× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$266.70–$923.58 | $410.30–$1,420.90 | varies |
| Cardiopulmonary exercise testing (94621) range across 2 matching MRF lines |
$153.20–$1,270.04 | $235.70–$1,953.90 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$415.87–$1,270.04 | $639.80–$1,953.90 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$245.83–$2,668.77 | $378.20–$4,105.80 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $8,807.76 | $13,550.40 | 2.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) range across 2 matching MRF lines |
$2,554.24–$8,807.76 | $3,929.60–$13,550.40 | varies |
| Cbt 1st hour (94644) | $173.55 | $267 | 1.1× |
| Chemo Anti-Neopl Sq/Im (96401) | $210.21 | $323.40 | 2.5× |
| Chemo Hormon Antineopl Sq/Im (96402) | $210.21 | $323.40 | 2.5× |
| Chemo Intralesional Over 7 (96406) | $859.30 | $1,322 | 3.4× |
| Chemo intralesional up to 7 (96405) | $210.21 | $323.40 | 2.5× |
| Chemo IV infusion addl hr (96415) | $290.29 | $446.60 | 3.4× |
| Chemo IV push addl drug (96411) | $290.29 | $446.60 | 3.4× |
| Chemother Prolong Infuse W/Pump (96416) | $1,352.78 | $2,081.20 | 3.5× |
| Chemotherapy Into Cns (96450) | $1,352.78 | $2,081.20 | 3.5× |
| Chemotherapy Intracavitary (96440) | $1,352.78 | $2,081.20 | 3.5× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $290.29 | $446.60 | 3.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,352.78 | $2,081.20 | 3.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $1,352.78 | $2,081.20 | 3.5× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $1,352.78 | $2,081.20 | 3.5× |
| Chest Wall Manipulation (94668) | $118.76 | $182.70 | 0.8× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $2,163.98 | $3,329.20 | 4.9× |
| Color/duplex Doppler, complete (93975) | $985.86 | $1,516.70 | 3.5× |
| Color/duplex Doppler, limited (93976) range across 4 matching MRF lines |
$125.78–$433.74 | $193.50–$667.30 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $96.26 | $148.10 | 3.0× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $498.74 | $767.30 | 3.2× |
| Continuous Pulse Ox (94762) | $592.34 | $911.30 | 3.9× |
| Coronary Art/Grft Angio S&I (93455) | $8,807.76 | $13,550.40 | 2.3× |
| Coronary Artery Angio S&I (93454) | $8,807.76 | $13,550.40 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 6 matching MRF lines |
$346.38–$419.44 | $532.90–$645.30 | varies |
| Cpt initial (94667) | $150.34 | $231.30 | 1.0× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$487.11–$3,473.54 | $749.40–$5,343.90 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $2,163.98 | $3,329.20 | 4.9× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$80.47–$819.13 | $123.80–$1,260.20 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) | $792.28 | $1,218.90 | 5.2× |
| Dialysis One Evaluation (90945) | $1,606.74 | $2,471.90 | 3.3× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $985.86 | $1,516.70 | 3.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 2 matching MRF lines |
$91.06–$323.57 | $140.10–$497.80 | varies |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $433.74 | $667.30 | 3.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $985.86 | $1,516.70 | 3.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $433.74 | $667.30 | 3.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $985.86 | $1,516.70 | 3.5× |
| Dup-scan xtr veins unilateral/limited study (93971) | $433.74 | $667.30 | 3.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $985.86 | $1,516.70 | 3.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $433.74 | $667.30 | 3.5× |
| Duplex Scan Hemodialysis Access (93990) | $323.57 | $497.80 | 2.6× |
| Duplex up extrem art bilat (93930) | $985.86 | $1,516.70 | 3.5× |
| Duplex up extrem art unilat/ltd (93931) | $433.74 | $667.30 | 3.5× |
| Echo Congenital Complete (93303) range across 5 matching MRF lines |
$39.98–$2,236.13 | $61.50–$3,440.20 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$55.96–$985.86 | $86.10–$1,516.70 | varies |
| Echo r-t 2d w/probe placement only (93313) | $2,236.13 | $3,440.20 | 3.5× |
| Echo transesophag montr cardiac pump functj (93318) range across 2 matching MRF lines |
$229.78–$2,236.13 | $353.50–$3,440.20 | varies |
| Echo transesophageal (93312) range across 6 matching MRF lines |
$69.29–$3,222.12 | $106.60–$4,957.10 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 8 matching MRF lines |
$53.76–$3,222.12 | $82.70–$4,957.10 | varies |
| EEG awake and asleep (95819) range across 3 matching MRF lines |
$127.14–$1,270.04 | $195.60–$1,953.90 | varies |
| EEG awake drowsy (95816) range across 3 matching MRF lines |
$368.36–$1,270.04 | $566.70–$1,953.90 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $638.10 | $981.70 | 2.5× |
| EEG extended monitoring 61-119 minutes (95813) | $1,270.04 | $1,953.90 | 5.0× |
| Electrical Stimulation Ea 15 Min (97032) | $43.62 | $67.10 | 3.0× |
| Electrocardiogram Tracing (93005) range across 5 matching MRF lines |
$50.90–$180.05 | $78.30–$277 | varies |
| Electroconvulsive Therapy (90870) range across 3 matching MRF lines |
$238.94–$2,163.98 | $367.60–$3,329.20 | varies |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $20,779.07 | $31,967.80 | 2.3× |
| Electrophysiology Evaluation (93642) | $3,324.36 | $5,114.40 | 2.3× |
| Emergency Dept Visit Level 2 (99282) range across 5 matching MRF lines |
$95.74–$652.86 | $147.30–$1,004.40 | varies |
| Emergency Dept Visit Level 3 (99283) range across 6 matching MRF lines |
$161.59–$1,141.46 | $248.60–$1,756.10 | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$275.73–$1,755.39 | $424.20–$2,700.60 | varies |
| Emg 3 Extremities (95863) | $638.10 | $981.70 | 4.2× |
| Emg 4 Extremities (95864) | $638.10 | $981.70 | 4.2× |
| Endomyocardial Biopsy (93505) | $8,619.06 | $13,260.10 | 2.3× |
| Ep & ablate supravent arrhyt (93653) | $67,178.54 | $103,351.60 | 2.2× |
| Ep & ablate ventric tachy (93654) | $67,178.54 | $103,351.60 | 2.2× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $20,779.07 | $31,967.80 | 2.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $20,779.07 | $31,967.80 | 2.3× |
| Er level 1 (99281) range across 5 matching MRF lines |
$26.06–$363.02 | $40.10–$558.50 | varies |
| Er level v (99285) range across 8 matching MRF lines |
$399.75–$3,396.90 | $615–$5,226 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $2,163.98 | $3,329.20 | 4.9× |
| Evaluate pt use of inhaler (94664) | $214.11 | $329.40 | 0.8× |
| Evaluate Speech Production (92522) | $338.32 | $520.50 | 3.0× |
| Evaluate Swallowing Function (92610) | $242.58 | $373.20 | 2.9× |
| Evaluation of speech fluency (92521) | $404.10 | $621.70 | 3.0× |
| Evoked Auditory Test,Limited (92587) range across 2 matching MRF lines |
$368.36–$1,270.04 | $566.70–$1,953.90 | varies |
| External ECG rec>48hr<7d recording (93242) | $115.96 | $178.40 | 2.6× |
| External ECG rec>7d<15d recording (93246) | $115.96 | $178.40 | 2.6× |
| External Ecg Scanning Analysis Report (93226) | $175.44 | $269.90 | 2.5× |
| Extracranial Bilat Study (93880) | $985.86 | $1,516.70 | 3.5× |
| Extracranial Uni/Ltd Study (93882) range across 3 matching MRF lines |
$125.78–$433.74 | $193.50–$667.30 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 4 matching MRF lines |
$79.69–$3,222.12 | $122.60–$4,957.10 | varies |
| Flexible endoscopic eval swallow c/v rec (92612) | $563.74 | $867.30 | 2.8× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $1,270.04 | $1,953.90 | 5.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,163.98 | $3,329.20 | 2.1× |
| Gi tract capsule endoscopy (91110) | $3,864.90 | $5,946 | 3.6× |
| Group Therapeutic Procedures (97150) | $54.73 | $84.20 | 3.0× |
| Health Behavior Assessment/Re-Assessment (96156) | $285.48 | $439.20 | 2.4× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $188.44 | $289.90 | 4.3× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $112.84 | $173.60 | 2.6× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) | $608.27 | $935.80 | 2.9× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $8,807.76 | $13,550.40 | 2.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,534.94 | $3,899.90 | 3.1× |
| Holter monitor recording (93225) range across 3 matching MRF lines |
$110.44–$380.64 | $169.90–$585.60 | varies |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$81.18–$111.02 | $124.90–$170.80 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$111.02–$125.64 | $170.80–$193.30 | varies |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$111.02–$136.37 | $170.80–$209.80 | varies |
| Icm Device Eval (93290) range across 2 matching MRF lines |
$46.74–$111.02 | $71.90–$170.80 | varies |
| Ilr Device Eval Progr (93285) range across 2 matching MRF lines |
$56.68–$111.02 | $87.20–$170.80 | varies |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$39.84–$87.62 | $61.30–$134.80 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$188.18–$210.21 | $289.50–$323.40 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $2,163.98 | $3,329.20 | 4.9× |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$1,233.64–$4,253.92 | $1,897.90–$6,544.50 | varies |
| Interrogate Subq Defib (93261) range across 2 matching MRF lines |
$80.47–$111.02 | $123.80–$170.80 | varies |
| Intra-atrial pacing (93610) | $20,779.07 | $31,967.80 | 2.3× |
| Intra-atrial recording (93602) | $20,779.07 | $31,967.80 | 2.3× |
| Intracranial Complete Study (93886) | $985.86 | $1,516.70 | 3.5× |
| Intraventricular pacing (93612) | $20,779.07 | $31,967.80 | 2.3× |
| Iontophoresis 15 min (97033) | $58.76 | $90.40 | 3.1× |
| Irrig Drug Delivery Device (96523) | $180.05 | $277 | 2.6× |
| IV infusion hydration each additional hour (96361) | $188.18 | $289.50 | 3.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $859.30 | $1,322 | 3.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $290.29 | $446.60 | 3.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $188.18 | $289.50 | 3.4× |
| IV push initial (96374) | $859.30 | $1,322 | 3.4× |
| L Hrt Art/Grft Angio (93459) | $8,807.76 | $13,550.40 | 2.3× |
| Liver Elastography W/O Imag W/I&R (91200) | $462.02 | $710.80 | 3.1× |
| Low frequency non-thermal us (97610) range across 2 matching MRF lines |
$40.62–$589.10 | $62.50–$906.30 | varies |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$6.18–$140.34 | $9.50–$215.90 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $792.28 | $1,218.90 | 3.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $91.13 | $140.20 | 2.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $104.52 | $160.80 | 2.8× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $47.97 | $73.80 | 2.8× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$62.08–$1,270.04 | $95.50–$1,953.90 | varies |
| Motility study esophagus (91010) | $2,163.98 | $3,329.20 | 4.9× |
| Motion Fluoroscopy/Swallow (92611) range across 11 matching MRF lines |
$74.49–$279.56 | $114.60–$430.10 | varies |
| Multiple Sleep Latency Test (95805) | $2,163.98 | $3,329.20 | 2.1× |
| Muscle Test 2 Limbs (95861) | $380.64 | $585.60 | 2.4× |
| Muscle Test Nonparaspinal (95870) | $380.64 | $585.60 | 2.4× |
| Muscle Test One Limb (95860) | $380.64 | $585.60 | 2.4× |
| Nasopharyngoscopy (92511) range across 3 matching MRF lines |
$87.36–$800.34 | $134.40–$1,231.30 | varies |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $1,270.04 | $1,953.90 | 5.0× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $1,270.04 | $1,953.90 | 5.0× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$48.30–$1,647.04 | $74.30–$2,533.90 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$55.96–$1,647.04 | $86.10–$2,533.90 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$55.96–$589.10 | $86.10–$906.30 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$60.52–$1,179.82 | $93.10–$1,815.10 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $638.10 | $981.70 | 2.5× |
| Nerve Conduction Studies 3-4 Studies (95908) | $1,270.04 | $1,953.90 | 5.0× |
| Nerve conduction studies 5-6 studies (95909) | $1,270.04 | $1,953.90 | 5.0× |
| Nerve conduction studies 7-8 studies (95910) | $1,270.04 | $1,953.90 | 2.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $638.10 | $981.70 | 4.2× |
| Neuromuscular Reeducation (97112) | $102.31 | $157.40 | 3.1× |
| Newborn resuscitation (99465) | $2,668.77 | $4,105.80 | 3.4× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $735.67 | $1,131.80 | 1.7× |
| Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) | $180.05 | $277 | 2.6× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $180.05 | $277 | 2.6× |
| Optokinetic Nystagmus Test (92544) | $638.10 | $981.70 | 4.2× |
| Oral Function Therapy (92526) | $257.27 | $395.80 | 3.1× |
| Oral Speech Device Eval (92597) | $219.83 | $338.20 | 3.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $159.06 | $244.70 | 3.2× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $144.88 | $222.90 | 3.1× |
| Oscillating Tracking Test (92545) | $1,270.04 | $1,953.90 | 5.0× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$52.13–$74.75 | $80.20–$115 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $42.64 | $65.60 | 3.0× |
| Ot eval high complexity (97167) | $183.30 | $282 | 1.8× |
| Ot Eval Low Complex (97165) | $183.30 | $282 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $183.30 | $282 | 1.8× |
| Ot manual therapy 15 min (97140) | $82.10 | $126.30 | 3.0× |
| Ot paraffin bath (97018) | $17.48 | $26.90 | 2.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $126.62 | $194.80 | 3.1× |
| Ot Re-Eval Est Plan Care (97168) | $212.68 | $327.20 | 3.1× |
| Ot rom hand (95852) | $49.92 | $76.80 | 2.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 6 matching MRF lines |
$148.92–$513.50 | $229.10–$790 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $513.50 | $790 | 3.4× |
| Oxygen Uptake Rest Indirect (94690) | $140.34 | $215.90 | 2.0× |
| Patch/Application Test Specify Number Tests (95044) | $3,076.38 | $4,732.90 | 3.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $195.78 | $301.20 | 0.8× |
| Peripheral arterial disease rehab per session (93668) | $242.26 | $372.70 | 3.5× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $37,965.59 | $58,408.60 | 1.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $15,612.87 | $24,019.80 | 2.3× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 10 matching MRF lines |
$31,054.72–$49,172.18 | $47,776.50–$75,649.50 | varies |
| Phlebotomy therapeutic (99195) | $380.64 | $585.60 | 2.4× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $242.26 | $372.70 | 3.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $242.26 | $372.70 | 3.5× |
| Plethysmography (94726) range across 3 matching MRF lines |
$26.84–$827.58 | $41.30–$1,273.20 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$45.96–$111.02 | $70.70–$170.80 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$82.74–$111.02 | $127.30–$170.80 | varies |
| Pm device progr eval multi (93281) range across 2 matching MRF lines |
$92.69–$111.02 | $142.60–$170.80 | varies |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$70.46–$111.02 | $108.40–$170.80 | varies |
| Pm/Icd Remote Tech Serv (93296) | $111.02 | $170.80 | 2.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 12 matching MRF lines |
$1,203.28–$4,149.21 | $1,851.20–$6,383.40 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $4,149.21 | $6,383.40 | 4.1× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $4,149.21 | $6,383.40 | 4.1× |
| Positional nystagmus test (92542) | $380.64 | $585.60 | 2.4× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) range across 2 matching MRF lines |
$93.47–$111.02 | $143.80–$170.80 | varies |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$92.69–$111.02 | $142.60–$170.80 | varies |
| Prq Card Angio/Athrect 1 Art (92924) | $31,054.72 | $47,776.50 | 2.3× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 11 matching MRF lines |
$9,005.88–$31,054.72 | $13,855.20–$47,776.50 | varies |
| Prq Card Stent/Ath/Angio (92933) | $49,172.18 | $75,649.50 | 2.3× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $31,054.72 | $47,776.50 | 2.3× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $46,724.08 | $71,883.20 | 2.2× |
| Prq trl rvs ch occ ant&rtrgr (92945) | $31,054.72 | $47,776.50 | 2.3× |
| Psychiatric diagnostic evaluation (90791) | $338.52 | $520.80 | 1.6× |
| Psytx Crisis Initial 60 Min (90839) | $308.62 | $474.80 | 1.5× |
| Pt Eval High Complex (97163) | $178.56 | $274.70 | 1.8× |
| Pt eval low complex 20 min (97161) | $178.56 | $274.70 | 1.8× |
| Pt Eval Mod Complex (97162) | $178.56 | $274.70 | 1.8× |
| Pt gait training 15 min (97116) | $89.18 | $137.20 | 3.1× |
| Pt mechanical traction (97012) | $42.64 | $65.60 | 3.0× |
| Pt Re-Eval Est Plan Care (97164) | $123.24 | $189.60 | 1.8× |
| Pulm function test by gas (94727) | $369.66 | $568.70 | 1.5× |
| Pulmonary service/procedure (94799) | $148.66 | $228.70 | 1.0× |
| Pulmonary Stress Testing (94618) range across 5 matching MRF lines |
$49.79–$380.64 | $76.60–$585.60 | varies |
| Pure Tone Audiometry Air (92552) range across 2 matching MRF lines |
$110.44–$380.64 | $169.90–$585.60 | varies |
| R Hrt Art/Grft Angio (93457) | $8,807.76 | $13,550.40 | 2.3× |
| R hrt coronary artery angio (93456) | $8,807.76 | $13,550.40 | 2.3× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $8,807.76 | $13,550.40 | 2.3× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $1,352.78 | $2,081.20 | 3.5× |
| Refill/Maint Portable Pump (96521) | $859.30 | $1,322 | 3.4× |
| Rem interrog icpms <30 d phys/qhp (93297) range across 2 matching MRF lines |
$55.96–$111.02 | $86.10–$170.80 | varies |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) range across 2 matching MRF lines |
$55.96–$183.30 | $86.10–$282 | varies |
| Remote 30 Day Ecg Rev/Report (93270) range across 2 matching MRF lines |
$31.98–$110.18 | $49.20–$169.50 | varies |
| Respiratory flow volume loop (94375) | $32.18 | $49.50 | 0.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $180.05 | $277 | 2.6× |
| Right Heart Cath (93451) | $8,807.76 | $13,550.40 | 2.3× |
| Right ventricular recording (93603) | $3,324.36 | $5,114.40 | 2.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $589.10 | $906.30 | 2.5× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $376.74 | $579.60 | 3.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $147.88 | $227.50 | 3.1× |
| Self Care Mngment Training (97535) | $99.26 | $152.70 | 3.1× |
| Sensory Integration Ea 15 Min (97533) | $189.48 | $291.50 | 3.1× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) | $1,270.04 | $1,953.90 | 5.0× |
| Short-latency somatosens ep std upr limbs (95925) | $1,270.04 | $1,953.90 | 5.0× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $638.10 | $981.70 | 4.2× |
| Sleep study attended (95807) | $2,163.98 | $3,329.20 | 4.9× |
| Sleep study unattended (95806) range across 2 matching MRF lines |
$185.06–$638.10 | $284.70–$981.70 | varies |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $638.10 | $981.70 | 2.5× |
| Somatosensory Testing (95938) | $2,163.98 | $3,329.20 | 2.1× |
| Speech sound lang comprehen (92523) | $420.22 | $646.50 | 1.9× |
| Spin/Brain Pump Refil & Main (95991) range across 2 matching MRF lines |
$89.64–$1,216.86 | $137.90–$1,872.10 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$18.40–$369.66 | $28.30–$568.70 | varies |
| Spontaneous Nystagmus Test (92541) | $380.64 | $585.60 | 2.4× |
| Ssep lower limbs (95926) | $1,270.04 | $1,953.90 | 5.0× |
| Standardized Cognitive Performance Testing (96125) | $310.90 | $478.30 | 3.0× |
| Surfactant Admin Thru Tube (94610) | $327.02 | $503.10 | 1.3× |
| Temp transcutaneous pacing (92953) | $2,477.34 | $3,811.30 | 3.2× |
| Tensilon Test (95857) | $1,270.04 | $1,953.90 | 5.0× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $66.88 | $102.90 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $63.83 | $98.20 | 3.0× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $111.41 | $171.40 | 3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $92.24 | $141.90 | 3.1× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $313.95 | $483 | 3.1× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $139.82 | $215.10 | 2.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 6 matching MRF lines |
$6.37–$210.21 | $9.80–$323.40 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $859.30 | $1,322 | 3.4× |
| Therapeutic Activities (97530) | $111.41 | $171.40 | 3.2× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 3 matching MRF lines |
$205.27–$2,163.98 | $315.80–$3,329.20 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$56.68–$121.55 | $87.20–$187 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$26.84–$121.55 | $41.30–$187 | varies |
| Transcath Closure of Asd (93580) | $49,172.18 | $75,649.50 | 2.3× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $433.74 | $667.30 | 3.5× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) range across 2 matching MRF lines |
$31.46–$111.02 | $48.40–$170.80 | varies |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$44.92–$3,222.12 | $69.10–$4,957.10 | varies |
| Tte W/O Doppler Complete (93307) | $985.86 | $1,516.70 | 3.5× |
| Tx atrial fib pulm vein isol (93656) | $67,178.54 | $103,351.60 | 2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $231.98 | $356.90 | 3.0× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $73.97 | $113.80 | 3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $188.18 | $289.50 | 3.4× |
| Tympanometry (92567) | $118.04 | $181.60 | 2.7× |
| Unlis neurological/neuromuscular dx px (95999) | $462.02 | $710.80 | 3.1× |
| Unlisted cardiovascular service/procedure (93799) | $638.10 | $981.70 | 4.2× |
| Upr/L Xtremity Art 2 Levels (93922) range across 5 matching MRF lines |
$26.84–$380.64 | $41.30–$585.60 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$48.30–$638.10 | $74.30–$981.70 | varies |
| Valvuloplasty aortic valve (92986) | $15,612.87 | $24,019.80 | 2.3× |
| Valvuloplasty mitral valve (92987) | $31,054.72 | $47,776.50 | 2.3× |
| Valvuloplasty pulmonary valve (92990) | $31,054.72 | $47,776.50 | 2.3× |
| Vasopneumatic device (97016) | $35.49 | $54.60 | 3.0× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,163.98 | $3,329.20 | 4.9× |
| Veeg 2-12 hr intmt mntr (95712) | $1,270.04 | $1,953.90 | 2.9× |
| Veeg 2-12 hr unmonitored (95711) | $1,270.04 | $1,953.90 | 5.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,163.98 | $3,329.20 | 4.9× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,163.98 | $3,329.20 | 4.9× |
| Veeg ea 12-26hr cont mntr (95716) | $4,149.21 | $6,383.40 | 4.1× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$1,485.51–$1,579.76 | $2,285.40–$2,430.40 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 3 matching MRF lines |
$1,267.30–$1,428.18 | $1,949.70–$2,197.20 | varies |
| Visual Evoked Potential Test (95930) | $1,270.04 | $1,953.90 | 5.0× |
| Vital capacity, total (94150) | $300.36 | $462.10 | 2.0× |
| Wheelchair Mgmt Ea 15 Min (97542) | $96.26 | $148.10 | 3.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.